집단미술치료가 성인 난치성 질환자의 삶의 질에 미치는 효과

길은영(Gil Eun-Young) 한국예술심리치료학회 2019 예술심리치료연구 Vol.15 No.2

만성 난치성 질환자는 신체는 물론 심리적 건강과 사회적 관계, 환경을 포함하는 삶의 질의 영역에서 그 질이 저하될 가능성이 많다. 본 연구는 집단미술치료가 난치성 질환자의 삶의 질과 자아상과 정서에 어떤 효과가 있는지 알아보고자 하였다. 연구대상은 10명의 20 대에서 40대 남녀 성인들로 총 10회기, 회기당 120분으로 집단미술치료를 진행하였다. 연구 도구로는 한국판 삶의 질(WHOOQOL-CS)척도와 DAS를 사용하여, 삶의 질과 정서 및 자 아상의 변화를 비교 분석하였다. 연구자료는 전체 진행 과정의 기록, 녹취, 작품을 토대로 회기별, 단계별 변화를 평가하였다. 연구결과로, 첫째, 집단미술치료가 성인 난치성 질환자 들의 삶의 질에 긍정적인 변화를 가져다주었다. 둘째, DAS를 통해 본 결과, 집단미술치료 는 질환으로 인해 일상과 삶이 무기력하고 우울하며 부정적인 자아상을 가졌던 난치성 질 환자들이 미술 매체로 다양한 활동을 하면서 능동적으로 변하고 정서가 안정되는 변화를 가져왔다. 더하여 자아상과 정서에 변화를 보인 난치성 질환자는 집단 안에서 돌봄을 주고 받으면서 자신과 타인을 긍정적으로 인식함으로써 삶의 질의 사회적 관계영역에서 유의미 한 변화를 가져왔다. 본 연구가 단일집단으로 제한점이 있으나, 만성 난치성 질환자를 위한 사회적 관심과 심리적 중재로서 집단미술치료의 필요성을 제기하고 이들의 삶에 긍정적인 영향을 줄 수 있다는 것에 의의가 있다. Patients that suffer from incurable disease are more likely to be deteriorated in various areas of their lives, such as the quality of life, including physical and psychological health, social relations, and the environment. This study was designed to find out the quality of life and effects of group art therapy on the emotional expression and self-image of patients with incurable diseases. We employed the use of WHOOQOL–CS (Quality of life) and DAS as research tools to compare the emotions, quality of life, and self-image. The subjects of this study were ten adults with 10 sessions and 120 minutes for each session. Based on data, activities and works that recorded the whole process, we analyzed the quality of each session, group stage and individual. The results of this study were as follows. First, group art therapy has brought positive changes to the quality of lives of adults living with incurable diseases. Second, as a result of DAS, group art therapy brought positive changes in expressing various emotions to the patients with refractory adult patients who led daily lives while helpless, depressed and having negative self-image due to illness. Moreover, patients with refractory illness who showed changes in self - image and emotions had a meaningful change in the social relation area of quality of life by receiving care in groups, recognizing oneself positively through art medium and emotional ventilation. This study is limited to a single group. However, it is important to suggest the need for group art therapy and can have a positive impact on their lives as a social concern and psychological interventions for chronically incurable patients.

상실을 경험한 우울 청소년의 발달적 애도를 위한 미술심리치료 사례연구

길은영 ( Gil Eun-young ) 한국미술심리치료연구학회 2022 미술심리치료연구 Vol.1 No.2

This is a case study of art psychotherapy in through which depressive adolescents who reppressing the pain of loss and adapted to reality worked through a developmental mourning process. The client was a 16-year-old who complained of depression and had family conflicts, and a total of 40 sessions were conducted. Research tools used BDI, KHTP, and DAS to compare and verify pre-post changes. Art psychotherapy expressed feelings and wounds about the loss of brother and bullying through voluntary art work, regressed in the early stages of development, faced the pain of loss, and lived a time of mourning again. Art psychotherapy visualized lost objects and experiences, made her recognize and accept herself. And She adapted to reality by discovering a new self toward separation and independence. As a result, the client's depression decreased, and there was a positive change in interpersonal relationships. This study is a single case and has limitations in applying it to those who have experienced loss trauma. However, it is significant that it reveals the relationship between creative art work, depression, and mourning process, art psychotherapy accepts loss, experiences pain, and repair damaged relationships while expressing sadness to form a healthy identity.

대상 관계 이론 관점에서 본 친족 성폭력 피해자의 미술치료 사례 연구

길은영 ( Gil¸ Eun-young ),박성혜 ( Park¸ Sung-hae ) 한국미술심리치료연구학회 2021 미술심리치료연구 Vol.1 No.1

The purpose of this study is to consider art therapy cases of victims of relatives sexual violence from the perspective of the object relations theory. A 20-year-old woman who lived in a facility and was about to give birth to a child, and was conducted art therapy for nine sessions, excluding interview sessions, once a week, 80 minutes a week. As a research tools, BDI, KFD, and DAS were used as a projective test, and the research data used for analysis were a story, diary, verbatim record, works, and object relations theory literature. As a result of examining the works and stories of the interviewees expressed in the art therapy process from the perspective of object relations theory, she recognized ‘me who needed a fence’ while living, ‘depressing days without a mother.’ and she had a time of memories and mourning, such as ‘my favorite and the scenery of a baby duck’, ‘the saddest and happiest story’ and ‘I'll be there’. Since then, the theme of recovery has been drawn up and linked to the daily routine of ‘study, travel’, ‘don't get sick, and love you forever’, ‘I have parents, too.’ First, these results changed the negative object relationship of victims of sexual violence, improving her self-ability and leading to changes in real relationships. Second, the object relations art therapy reduced the depression of victims of relatives sexual violence, made her narrate, testify her trauma and have the power to live in the present while wating for the future. The study is significant in that art therapy of the object relations theory approaches to victims of relatives sexual violence presented therapeutic relationships, goals, and attitudes, and also suggested the possibility of applying clinical art therapy.

미대생의 미술치료수업에 대한 내러티브탐구

길은영 ( Eun Young Gil ) 한국예술교육학회 2015 예술교육연구 Vol.13 No.4

본 연구는 미대생이 미술치료수업을 통해 어떤 경험을 하고 그 의미가 무엇인지를 담은 내러티브 탐구이다. 대학입시를 치루고 미대에 들어온 미대생이 미술치료수업을 통해 경험한 시간성을 이야기로부터 얻었다. 미대생은 미술치료수업을 통해 ‘나의 삶의 시간을 오고 갔고’, ‘자신의 두려움을 마주하게’되었으며, 점차 ‘부담 없이 자연스러운 미술작업을 하는 체험’을 하였다. 더불어 수업 중에 ‘동기간에 마음을 열고 나누게 되었고’, ‘자신을 있는 그대로 안아주면서’ 자신의 정체성을 탐색하고 ‘미래에 대한 기대와 조망’을 하게 되었다. 이 경험을 통해 미대생은 ‘건너가는 존재’이자 ‘미술과미술치료사이의 존재’였으며, 미술의 가치는 입시를 통해 학습된 미술이 아닌 진정한 자기표현의 매개로 변환되었다. 그리고 미술은 정체성을 탐색하는 매개일 뿐 아니라, 미술 그 자체가 내러티브 정체성을가짐을 알 수 있었다. This study is a narrative inquiry on how a college art major student discovers the meanings of life through art therapy class. This study discusses Time of an art student who began her journey as an art major student after rigorous college exam process. In the art therapy class, this student revealed her own way of ‘passing through her time,’ ‘faced her own fear’, and eventually came ‘to enjoy freedom of doing arts without any psychological burden.’ The student was able ‘to open her heart and mind with colleagues’ in class, to ‘embrace herself as she is’, and to explore her identity with anticipation and openness. This particular experience of the student revealed the student as a ‘being who passes through’ and a ‘being who exists in between art and art therapy’, proved that her art works could become true medium to express herself, not as an ‘artificial art’ designed for college exam purpose, and finally art works, not as a medium, but as independent objects free and separated from the student, plays as the bearers of new narratives.

시설거주 시각장애 노인의 자기표현과 의사소통 증진을 위한 집단미술치료

길은영(Gil, Eun Young),장인희(Jang, In hee),염성희(Yeom, Sung Hee),이지연(Lee, Ji Yeon) 한국시각장애교육재활학회 2020 시각장애연구 Vol.36 No.2

연구 목적: 이 연구는 시설거주 시각장애 노인에게 집단미술치료를 실시하여 그들의 자기표현과 의사소통 변화를 보기 위한 것이다. 연구 방법: 50∼70대 시각장애 노인 남‧여 9명에게 집단미술치료를 15회 실시하여 그 변화를 차이 검증하고 개인별 변화를 질적 분석하였다. 연구 결과: 시설거주 시각장애 노인은 집단미술치료를 통해 자기표현에 유의미한 변화를 가져왔으며, 의사소통에도 긍정적인 변화를 가져왔다. 시설거주 시각장애 노인은 자유롭게 예술 매체를 탐구하고 자신의 생각과 감정, 욕구를 표현하는 시간을 가졌고 시각을 대신하는 치료사의 언어적 반영과 돌봄으로 안정감과 자신감을 얻어 긍정적인 상호작용을 하게 되었다. 결론: 연구 결과를 바탕으로 시각장애인을 위한 집단미술치료 방법론과 선행연구와의 비교, 연구의 제한점 및 향후 연구의 방향성을 제안하였다. Purpose: The purpose of this study is to investigate the changes in elderly’s self-expressions and communications by performing group art therapy for visual impairment at the care facility. Method: Group art therapy was conducted 15 times for nine elderly men and women in their 50s and 70s to verify differences and analyze their individual changes qualitatively. Results: The elderly visual impairment at the care facility brought significant changes in self-expression through group art therapy and positive changes in communication. The elderly visual impairment at the care facility freely explored art media, and had time to express their thoughts, feelings and desires, and gained a sense of stability and confidence through the verbal reflection and care of the therapist who replaced their vision, which led to positive interaction. Conclusion: Based on the results of this study, the group art therapy methodology for the blind and comparison with prior study, the limitations of study and direction of future studies were proposed.

부모 사별을 경험한 고등학생의 애도과정에 관한 미술치료 질적 사례연구 - 미술치료사의 반응작업을 중심으로 -

임선희 ( Lim Sun-hee ),길은영 ( Gil Eun-young ) 한국미술심리치료연구학회 2024 미술심리치료연구 Vol.3 No.2

The purpose of this study was to investigate how art therapy proceeds in the mourning process of high school students who experienced bereavement with their parents, and to examine the response work of art therapists. The client is a second-year high school male student attending a high school in Seoul and was referred to 00 institutions for loss due to consecutive bereavement of parents, and 12 sessions of art therapy were performed. The research data used the oral record, the client’s work, the journal, the researcher’s response work, the report of the institution manager, the mourning theory and related literature. As a result, first, it provided time to safely express the memory and emotions of the deceased and deal with the loss caused by bereavement to the client who was in a state of blankness and emotional expression. Second, through art therapy work, the client discovered the meaning of “Loss”, “Separation”, “Longing”, “Ambivalence”, “Confidence”, “Acceptance” and “Art”. Third, during the client's mourning process, the art therapist was able to help the client navigate his life by visualizing the ability to endure and capture the feelings of loss for sensitive care while dealing with the transfer process through reaction work. This study is meaningful in that art therapy allowed adolescents who suffered loss due to bereavement to re-recognize and accept reality emotionally, and that art work contributed to the establishment of a therapeutic relationship in mourning counseling for therapists who shared a difficult process.

A Case Study of Gestalt Art Therapy for Children with Peer Relationship Conflict and Difficulty in Self-Expression

박하은 ( Park Ha-eun ),길은영 ( Gil Eun-young ) 한국미술심리치료연구학회 2024 미술심리치료연구 Vol.4 No.1

This study was conducted to examine the process of change by performing Gestalt art therapy on child who are experiencing peer relationship conflicts and difficulties in self-expression. The study participant was 5-year-old male child attending kindergarten, and Gestalt art therapy was conducted once a week for 50 minutes per session, over a total of 12 sessions from March 12 to June 11, 2024. To find out the changes in child, HTP pre-post-test was performed with projection diagnosis, and the process of change for each session was qualitatively analyzed. The results of the study are as follows. First, art therapy applying the Gestalt theory brought a change in the relationship to child with difficulties in peer relationship conflict and was able to have a smooth relationship with friends in kindergarten. Second, in the process of Gestalt art therapy, the child's ability for self-expression was improved so that his opinion could be clearly conveyed. Through these results, it can be seen that Gestalt art therapy brought positive changes to child with peer relationship conflicts and difficulties in self-expression, and various techniques can be used according to the child's level.

A Case Study on the Art Therapy of Subject Relationships for Children with Permissive Space and a Lack of Good Objects

이소원 ( Lee So-won ),길은영 ( Gil Eun-young ) 한국미술심리치료연구학회 2024 미술심리치료연구 Vol.4 No.1

The purpose of this study was to find out how a child suffering from a lack of permissive space and good objects change through subject-related art therapy. The client was a 5-year-old child with a pervasive developmental delay and proceeded with a total of 12 sessions, 40 minutes per session. In this study, treatment was performed by providing an acceptable space in the art therapy process, becoming a good enough therapist, and the results are as follows. First, it was effective for the healthy growth and development of children with developmental delays, such as interest in art, self-expression, interaction, language expression, small muscles, and control. Second, it was shown that the interaction between mother and child and the perception of mock art therapy changed positively through parental counseling to talk about the child’s positive changes and art therapy process during the art therapy process. Through this study, it was confirmed that subject-related art therapy is effective for healthy developmental growth of children suffering from permissive space and good subject deficiency.